Dr Justin Tidwell, MD | |
604 Indiana, Lubbock, TX 79415 | |
(806) 775-9700 | |
Not Available |
Full Name | Dr Justin Tidwell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 604 Indiana, Lubbock, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639199862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L5926 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lubbock County Hospital District | 4284617507 | 39 |
Entity Name | Lubbock County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508855578 PECOS PAC ID: 4284617507 Enrollment ID: O20040609000242 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Tidwell, MD 3804 53rd St, Lubbock, TX 79413-3824 Ph: (806) 795-0914 | Dr Justin Tidwell, MD 604 Indiana, Lubbock, TX 79415 Ph: (806) 775-9700 |
Lillian Amezquita, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Dr. Shelton Ray Jackson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4407 87th St, Lubbock, TX 79424 Phone: 806-783-0904 Fax: 806-783-0904 | |
Scott Alan Letbetter Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-2233 | |
Mr. Bharat Bhushan, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-761-0878 | |
Nagarjun Narra, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4288 | |
Dr. Conrad Bryson Bowman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-9700 | |
Samuel B Herrera, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 24th St, Lubbock, TX 79410 Phone: 806-725-0030 |